| NPI | 1871218214 |
|---|---|
| Doing Business As | LARWIN SQUARE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HIRAL DESAI Onwer 424-303-1665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 1223P0300X Dentist, Periodontics | |
| 1223X2210X Dentist, Orofacial Pain | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2026-03-03 |